Test Lead (Manual Test, US Healthcare & Medicaid/Pharmacy)
Remote · United States
Job Summary
Test Lead (Manual Testing) for US Healthcare & Medicaid/Pharmacy applications. Responsible for designing, developing, implementing, maintaining and monitoring critical test processes; performing vital testing, troubleshooting and analysis of application software for complex projects; gathering requirements, developing executable test cases, and distributing workload across a team of test engineers; coordinating with stakeholders to communicate defect-causing problems; assisting with proposals to improve processes and programs; and helping prepare estimates for test activities. Remote work opportunity with shift timing 2 PM to 11 PM.
Required Qualifications
- 15+ years of overall experience with 5+ years specifically in Medicaid pharmacy operations, MMIS/MES systems, PBM functions, or pharmacy claims processing
- Strong understanding of NDC, HCPCS, quantity limits, and drug pricing methodologies
- Strong understanding of Medicaid PDL, clinical PA criteria, DUR requirements
- Strong understanding of Pharmacy benefit administration and reimbursement models
- Hands-on experience with EDI transactions (837, 835, 278)
- Experience with test management tools and SQL for data validation
- Familiarity with Gainwell, Conduent, Optum, Magellan, or other Medicaid pharmacy modules
Apply with one swipe on Sorce. We auto-fill applications and apply on your behalf — no cover letters, no 40-minute forms.
Hiring someone like this?
Get your role in front of qualified candidates on Sorce.